+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Low educational status, smoking, and multidisciplinary team experience predict hospital length of stay after bariatric surgery



Low educational status, smoking, and multidisciplinary team experience predict hospital length of stay after bariatric surgery



Nutrition and Metabolic Insights 5: 71-76



The objective of the present study was to identify new risk factors associated with longer hospitalization following bariatric surgery. Patient clinical, social, and biochemical data in addition to multidisciplinary team experience were analyzed in a cohort that included all patients undergoing bariatric surgery at our hospital. The primary outcome was length of hospital stay (LOS). Mortality was recorded to validate the obesity surgery mortality risk score (OS-MRS). This study included 299 sequential patients, 41 ± 10 years of age, and BMI of 50 ± 8 kg/m(2) who underwent bariatric surgery. Two thirds (196) of patients were hypertensive, a third (86) were diabetic and a third (91) were current or former smokers. Overall, LOS was 8 ± 5 days. The predictors of a longer LOS were smoking (P < 0.05) and less multidisciplinary team experience (P < 0.05). Looking at only the last three years of data, LOS was 6 ± 5 days, and the predictors of a longer LOS were low educational attainment (P < 0.02) and smoking (P < 0.01) but not team experience. The global mortality was 2.6%, with the OS-MRS identifying a high-risk group. Excluding the initial learning phase, longer LOS independent predictors were patient low educational attainment and smoking. These predictors can help guide care to reduce complications.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 054184002

Download citation: RISBibTeXText

PMID: 23882150

DOI: 10.4137/nmi.s10315


Related references

The impacts of the multidisciplinary team model on the length of stay and hospital expenses of patients with lung cancer. Zhonghua Jie he He Hu Xi Za Zhi 38(5): 370-374, 2015

Duration of Nil Per Os is causal in hospital length of stay following laparoscopic bariatric surgery. Surgical Endoscopy 31(4): 1901-1905, 2017

Bariatric patients' nutritional status as a risk factor for postoperative complications, prolonged length of hospital stay and hospital readmission: A retrospective cohort study. International Journal of Surgery 56: 210-214, 2018

Routine contrast imaging after bariatric surgery and the effect on hospital length of stay. Surgery for Obesity and Related Diseases 14(4): 517-520, 2018

Medicare and Medicaid status predicts prolonged length of stay after bariatric surgery. Surgery for Obesity and Related Diseases 3(6): 592-596, 2007

The association between smoking status and hospital length of stay: evidence from a hospital-based cohort. Hospital Practice 44(3): 129-132, 2016

Baseline psychiatric diagnoses are associated with early readmissions and long hospital length of stay after bariatric surgery. Surgical Endoscopy 33(5): 1661-1666, 2019

Factors Predicting Length of Stay Following Bariatric Surgery: Retrospective Review of a Single UK Tertiary Centre Experience. Obesity Surgery 28(7): 1924-1930, 2018

Role of intraoperative fluids on hospital length of stay in laparoscopic bariatric surgery: a retrospective study in 224 consecutive patients. Surgical Endoscopy 29(10): 2960-2969, 2015

The Impact of Care Coaching on Hospital Length of Stay, Readmission Rates and Overall Patient Satisfaction Post-Bariatric Surgery. Surgery for Obesity and Related Diseases 11(6): S8-S9, 2015

Adolescent Bariatric Surgery: Effects of Socioeconomic, Demographic, and Hospital Characteristics on Cost, Length of Stay, and Type of Procedure Performed. Obesity Surgery 29(3): 757-764, 2019

Impact of care coaching on hospital length of stay, readmission rates, postdischarge phone calls, and patient satisfaction after bariatric surgery. Surgery for Obesity and Related Diseases 12(9): 1737-1745, 2016

Length of hospital stay and complications in thyroid surgery. Our experience. Chirurgia Italiana 59(2): 149-153, 2007

Drains use for bariatric surgical procedures is associated with increased complications and prolonged length of stay: a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program analysis. Surgery for Obesity and Related Diseases 13(10): S181-S182, 2017

Can the Blaylock Risk Assessment Screening Score (BRASS) predict length of hospital stay and need for comprehensive discharge planning for patients following hip and knee replacement surgery? Predicting arthroplasty planning and stay using the BRASS. Canadian Journal of Surgery 57(6): 391-397, 2014